WQ0034715_NOV-2024-PC-0166_USPS 20240325

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Certified Mail # 7020 3160 0000 4109 7002 ,-0 $ SUSAN OUNNAVANT, Coo
Return Receipt Requested ra TawPostageM CONCERT12OARS,LLC
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O Sent TO EMARV, FL 32746
March 20, 202 ru w3c)ss/MoxcunEcoMmHEFaNLnry�ENrm2MgTM 1� O $0eete itpf l\ 7020316000M IC97002 M:03/72/2024 R/
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Susan Dunnavant, COO �, .see 3ia:
Concert 12 Oaks LLC
300 International Pkwy
Ste 150
Lake Mary, FL 32746
SUBJECT: NOTICE OF VIOLATION & INTENT TO ASSESS CIVIL PENALTY
Tracking Number: NOV-2024-PC-0166
Permit No. WQ0034715
The Club at 12 Oaks
Wake County
Dear Permittee:
A review of the October 2023 Non -Discharge Analysis Report (NDAR1) for the subject facility revealed the
violation(s) indicated below:
Reporting Violation(s):
Report Period Due Date
Type of Violation
October 2023 11/30/2023 Late/Missing NDAR-1
A Notice of Violation/Intent to Issue Civil Penalty is being issued for the noted violation of North Carolina General
Statute (G.S.) 143-215.1 and the facility's Non -discharge Permit. Pursuant to G.S. 143-215.6A, a civil penalty of
not more than twenty-five thousand dollars ($25,000.00) may be assessed against any person who violates or
fails to act in accordance with the term^ ^^ "---
143-215.1.
If you wish to provide additional infor
discuss overall compliance please resl
review of your response will be consic
Report(s). You will then be notified c
response is received in this Office
prepared.
■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front If space permits.
1. Article Addressed to:
SUSAN DUNNAVANT, COO
CONCERT 12 OAKS, LLC
3M INTERNATIONAL PKWY, STE 150 +
LAKE MARY, FL 32746
WO:NOV & INT TO ASSESS CIVIL PENALTY/NOV-2023-PC416U1
WOM3471S/MONCURE COMM HEALTH CENTER/CHATt- _
70ZO316M00011097M2 M:03/22/2024 K
_ III'IIIII IIII IIIIII IIIIIII IIIIIIIIIII II IIIIIII
:=RE
Q 9590 9402 8490 3186 0212 37
7020 3160 0000 4109 7002
A. Signature
X CI Agent
❑ Addressee
B. Received by (Printed Name) C. Date of Delivery
D.Isdeliveryaddnes different from Item 19 UYee
If YES, enter delivery address below: ❑ No
Service Type
❑ Priority Mall Express®
Adult Signature
❑ Registered Mail -
Adult signature Restricted Delivery
DjjjjjRiiiegistomd Mall Restricte
Drtlflad Mall®
Irvery
Certified Mal..: Delivery
Ignature Canllrmatien1°
Collect an Dellvary
Signature Confirmation
f:nnael nn Delivery Restricted Delivery Restricted Derivery
tall
tall Restricted Delivery
PS Form 3811. July 2020 PSN 7530-02-000-9053 . Domestic Return Receipt

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70203160000041097002
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Latest Update
Your item was delivered to an individual at the address at 11:09 am on March 25, 2024 in LAKE MARY, FL
32746.
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Delivered
Delivered, Left with Individual
LAKE MARY, FL 32746
March 25, 2024, 11:09 am
Arrived at USPS Regional Facility
SEMINOLE-ORLANDO FL DISTRIBUTION CENTER
March 24, 2024, 10:32 am
In Transit to Next Facility
March 23, 2024
Departed USPS Regional Facility
RALEIGH NC DISTRIBUTION CENTER
March 22, 2024, 8:51 pm
Arrived at USPS Regional Facility
RALEIGH NC DISTRIBUTION CENTER
March 22, 2024, 8:06 pm

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